Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.80 / $2,145.78 / $7,838.38	Facility		$207.80	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $138.59 / $249.16	Professional		$77.84	$138.59	$249.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $33.86 / $43.60	Professional		$33.86	$33.86	$43.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.75 / $2,026.65 / $3,239.23	Facility		$582.75	$2,026.65	$3,239.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $147.44 / $251.59	Professional		$88.47	$147.44	$251.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.93 / $133.93 / $596.36	Facility		$133.93	$133.93	$596.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $168.22 / $316.39	Professional		$96.58	$168.22	$316.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.70 / $276.52	Professional		$32.34	$51.70	$276.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.03 / $162.00 / $232.71	Facility		$78.03	$162.00	$232.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $208.45 / $415.88	Professional		$102.94	$208.45	$415.88
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.73 / $241.00 / $363.00	Professional		$176.73	$241.00	$363.00